Effectiveness of Laboratory Parameters as Morbidity and Mortality Indicators in Patients with Coronavirus Disease-2019 Admitted to the Intensive Care Unit

Objective:Laboratory parameters may predict the severity and mortality of coronavirus disease-2019 (COVID-19). We investigated the relationship of laboratory findings obtained at admission and 72nd hour and mortality and morbidity of patients with pneumonia who were treated in two intensive care uni...

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Main Authors: Leyla Kazancıoğlu, Başar Erdivanlı, Hızır Kazdal, Abdullah Özdemir, Tolga Koyuncu, Ayşe Hızal, Asiye Özdemir, İlkay Bahçeci, Şule Batcık, Tahir Ersöz
Format: Article
Language:English
Published: Galenos Yayinevi 2021-12-01
Series:Türk Yoğun Bakim Derneği Dergisi
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Online Access: http://www.turkishjic.org/archives/archive-detail/article-preview/effectiveness-of-laboratory-parameters-as-morbidit/47543
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author Leyla Kazancıoğlu
Başar Erdivanlı
Hızır Kazdal
Abdullah Özdemir
Tolga Koyuncu
Ayşe Hızal
Asiye Özdemir
İlkay Bahçeci
Şule Batcık
Tahir Ersöz
author_facet Leyla Kazancıoğlu
Başar Erdivanlı
Hızır Kazdal
Abdullah Özdemir
Tolga Koyuncu
Ayşe Hızal
Asiye Özdemir
İlkay Bahçeci
Şule Batcık
Tahir Ersöz
author_sort Leyla Kazancıoğlu
collection DOAJ
description Objective:Laboratory parameters may predict the severity and mortality of coronavirus disease-2019 (COVID-19). We investigated the relationship of laboratory findings obtained at admission and 72nd hour and mortality and morbidity of patients with pneumonia who were treated in two intensive care units.Materials and Methods:Chart data of 75 patients (March-May 2020) were retrospectively analysed. Patient characteristics and laboratory parameters were compared according to the presence of COVID-19 and mortality. Patients with COVID-19 were compared according to mortality and gender.Results:The mean patient age was 74.7±11.3 years. COVID-19 positivity was not associated with marked differences in laboratory values. Lung disease, bedridden status, worse renal function scores, and high C-reactive protein level was more often observed in non-survivors (p<0.05). A decline in D-dimer level was more apparent in survivors; the increase in ferritin and neutrophillymphocyte ratio was more apparent in non-survivors (not significant). Among patients with COVID- 19, women had higher mean platelet volume than men (p=0.033). The rise in ferritin level was more pronounced in men, whereas the rise in neutrophil-lymphocyte ratio and platelet-lymphocyte ratio was higher in women.Conclusion:In this geriatric cohort, chronic lung disease and bedridden status were the main determinants of mortality. Moreover, different patterns of inflammatory markers may help predict the severity of COVID-19.
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institution Kabale University
issn 2146-6416
2147-267X
language English
publishDate 2021-12-01
publisher Galenos Yayinevi
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series Türk Yoğun Bakim Derneği Dergisi
spelling doaj-art-1590ef2cfcf94752bbb09937064a35d02025-08-20T03:54:24ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2021-12-01191334310.4274/tybd.galenos.2021.0591413049054Effectiveness of Laboratory Parameters as Morbidity and Mortality Indicators in Patients with Coronavirus Disease-2019 Admitted to the Intensive Care UnitLeyla Kazancıoğlu0Başar Erdivanlı1Hızır Kazdal2Abdullah Özdemir3Tolga Koyuncu4Ayşe Hızal5Asiye Özdemir6İlkay Bahçeci7Şule Batcık8Tahir Ersöz9 Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Medical Microbiology and Clinical Microbiology, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesiology and Reanimation, Rize, Turkey Objective:Laboratory parameters may predict the severity and mortality of coronavirus disease-2019 (COVID-19). We investigated the relationship of laboratory findings obtained at admission and 72nd hour and mortality and morbidity of patients with pneumonia who were treated in two intensive care units.Materials and Methods:Chart data of 75 patients (March-May 2020) were retrospectively analysed. Patient characteristics and laboratory parameters were compared according to the presence of COVID-19 and mortality. Patients with COVID-19 were compared according to mortality and gender.Results:The mean patient age was 74.7±11.3 years. COVID-19 positivity was not associated with marked differences in laboratory values. Lung disease, bedridden status, worse renal function scores, and high C-reactive protein level was more often observed in non-survivors (p<0.05). A decline in D-dimer level was more apparent in survivors; the increase in ferritin and neutrophillymphocyte ratio was more apparent in non-survivors (not significant). Among patients with COVID- 19, women had higher mean platelet volume than men (p=0.033). The rise in ferritin level was more pronounced in men, whereas the rise in neutrophil-lymphocyte ratio and platelet-lymphocyte ratio was higher in women.Conclusion:In this geriatric cohort, chronic lung disease and bedridden status were the main determinants of mortality. Moreover, different patterns of inflammatory markers may help predict the severity of COVID-19. http://www.turkishjic.org/archives/archive-detail/article-preview/effectiveness-of-laboratory-parameters-as-morbidit/47543 covid-19pneumoniaintensive care unitmorbiditymortalitygeriatrics
spellingShingle Leyla Kazancıoğlu
Başar Erdivanlı
Hızır Kazdal
Abdullah Özdemir
Tolga Koyuncu
Ayşe Hızal
Asiye Özdemir
İlkay Bahçeci
Şule Batcık
Tahir Ersöz
Effectiveness of Laboratory Parameters as Morbidity and Mortality Indicators in Patients with Coronavirus Disease-2019 Admitted to the Intensive Care Unit
Türk Yoğun Bakim Derneği Dergisi
covid-19
pneumonia
intensive care unit
morbidity
mortality
geriatrics
title Effectiveness of Laboratory Parameters as Morbidity and Mortality Indicators in Patients with Coronavirus Disease-2019 Admitted to the Intensive Care Unit
title_full Effectiveness of Laboratory Parameters as Morbidity and Mortality Indicators in Patients with Coronavirus Disease-2019 Admitted to the Intensive Care Unit
title_fullStr Effectiveness of Laboratory Parameters as Morbidity and Mortality Indicators in Patients with Coronavirus Disease-2019 Admitted to the Intensive Care Unit
title_full_unstemmed Effectiveness of Laboratory Parameters as Morbidity and Mortality Indicators in Patients with Coronavirus Disease-2019 Admitted to the Intensive Care Unit
title_short Effectiveness of Laboratory Parameters as Morbidity and Mortality Indicators in Patients with Coronavirus Disease-2019 Admitted to the Intensive Care Unit
title_sort effectiveness of laboratory parameters as morbidity and mortality indicators in patients with coronavirus disease 2019 admitted to the intensive care unit
topic covid-19
pneumonia
intensive care unit
morbidity
mortality
geriatrics
url http://www.turkishjic.org/archives/archive-detail/article-preview/effectiveness-of-laboratory-parameters-as-morbidit/47543
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